OLH SEARCH
HIPPA
OPEN/CLOSING
STATE SYSTEM
100

BENEFIT INFO-MEDICAL

BENEFIT GUIDELINES

100

WHAT IS NAME, DATE OF BIRTH, ADDRESS

HIPPA VERIFICATION
100

This person helps make interior spaces functional, safe, and beautiful for almost every type of building

Interior designer

100

MEMBER IS SHOWING INACTIVE IN IAD, AND ARA CONFIRMS MEMBER IS INELIGIBLE

REFER TO CAO

200

HANDLING MEMBER/PARTICIPANT/ENROLLEE AND PROVIDR CLAIM STATUS

CLAIM STATUS

200
MOTHER, FATHER, STEP-MOTHER, STEP FATHER, HEAD OF HOUSE

ALT-PAYEE

200

This person helps students learn how to create poetry, fiction, and nonfiction

Writing teacher

200

COLUM TO LOOK FOR ELIGIBILITY OR TERMINATION DATE ON STATE SYSTEM

PHYSICAL HEALTH

300

PCP ASSIGNMENT/CHANGE GUIDELINES

PCP CHANGE

300

CHECK FORMS FOR ANY RESTRICTIONS ON DISCLOSING INFORMATION, DO NOT RELEASE PHI, IF THERE IS NO DOCUMENTED AUTHORITY, ASK MEMBER TO VERBALLY GIVE PERMISSION TO SHARE PHI WITH CALLER. TO REVIEW WHAT INFORMATION CAN BE RELEASED PLEASE REVIEW PHI IDENTIFIABLE DATE ELEMENTS

HIPPA THIRD PARTY

300

This person uses an instrument, such as a violin or trombone, or sings to perform for an audience

Musician

300

POST AUTHORIZATION AND MANAGED CARE

WHAT ARE THE SCREEN AND GROUP NAME TO SEARCH FOR ELIGIBILITY

400

VERIFY THE IDENTITY AND AUTHORITY OF A CONTRACTOR BEFORE DISCLOSING PHI

UNABLE TO VALIDATE CONTRACTOR


400

LET ME CONFIRM WHAT WE DISCUSSED TODAY, IS THERE ANYTHING ELSE I CAN ASSIST YOU WITH. ARE YOU SATISFIED WITH THE RESPONSE YOU RECEIVED. THANK YOU FOR CALLING AMERIHEALTH (BRAND)

CLOSING ONE

400

This person creates plans to build homes and other buildings

Architect

400

CASE NON-FINANCIAL AND ELIGIBILITY HISTORY

ALT PAYEE SCREEN NAME AND GROUP NAME

500

RROT SPECIAL NEEDS TRIGGER QUESTIONS

CASE MANAGEMENT

500

FOR TREATMENT OF THE MEMBER, FOR PAYMENT TO A PROVIDER, FOR HEALTHCARE OPERATIONS.

WHEN A MEMBER AUTHORIZATION REQUIRED TO USE OR DISCLOSE PHI
500

This person helps to create realistic drawings in medical books and journals

Medical illustrator

500

This person tries to get people to vote for him/her so that he/she can manage the country

Politician/President

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